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ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Clinical application of a modified cartilage ring reposition technique in tympanoplasty.

Qian Liu, Xunbei Shi, Wenfang Sun, Jianfeng Wang, Chunfu Dai, Yibo Zhang

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Qian Liu *Department of Otolaryngology, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Xunbei Shi *Department of Otolaryngology, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Wenfang SunNational Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Department of Otolaryngology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Jianfeng WangNingbo NO.2 Hospital, Department of Otorhinolaryngology Head and Neck Surgery, Ningbo, China.
Chunfu DaiDepartment of Otolaryngology, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China.
Yibo ZhangDepartment of Otolaryngology, Eye Ear Nose &Throat Hospital, Fudan University, Shanghai, 200031, PR China. yibozhangent@163.com.ORCID http://orcid.org/0000-0002-6950-5512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtensive cartilage-harvest during tympanoplasty can result in tragus atrophy. It can bring inconvenience to life by impairing headphone or hearing aid use.This study proposed a modified technique to preserve tragus shape and function by creating a large cartilaginous-perichondrial complex and repositioning the cartilage ring into the tragus.

methodsA retrospective analysis of 53 patients undergoing type I tympanoplasty compared outcomes between an experimental group (n = 27 ) and a control group (n = 26). Postoperative outcomes—including tragal cartilage function scores, graft survival rates, audiometric results, and complications—were assessed at 1-month and 1-year follow-ups.

resultsType I tympanoplasty, using unilateral cartilage-perichondrium repositioning of the cartilage ring, demonstrated: (1) significantly superior tragus recovery postoperatively compared to the traditional technique; (2) statistically significant improvements in tragus aesthetics and headphone tolerance at 1-year follow-up; and (3) comparable pure-tone audiometry outcomes tympanic membrane closure rates, and postoperative symptom profiles between groups.

conclusionsThe cartilage ring repositioning technique in tympanoplasty effectively maintained tragus configuration and function without elevating complication risks or compromising auditory outcomes. This approach enhances the comfort of patients when using auditory devices and represents a viable surgical alternative.

Indexed as

CartilageEar CartilageTympanic Membrane PerforationTympanoplastyAdultAgedAudiometry, Pure-ToneFemaleGraft SurvivalHumansMaleMiddle AgedRetrospective StudiesTreatment Outcome

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.